How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $309.03 Median $2,238.72 Typical High $4,786.30 | Facility | None | $309.03 | $2,238.72 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $831.76 Typical High $1,288.25 | Professional | None | $302.00 | $831.76 | $1,288.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $346.74 Typical High $562.34 | Professional | 52 · Reduced service | $151.36 | $346.74 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $141.25 Typical High $223.87 | Professional | 53 · Discontinued | $60.26 | $141.25 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $524.81 Typical High $831.76 | Professional | 54 · Surgery only | $229.09 | $524.81 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $104.71 Typical High $165.96 | Professional | 55 · Aftercare only | $45.71 | $104.71 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $69.18 Typical High $112.20 | Professional | 56 · Pre-op care only | $30.20 | $69.18 | $112.20 |
CareFirst Setting Professional Modifier None Typical Low $245.47 Median $275.42 Typical High $630.96 | Professional | None | $245.47 | $275.42 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $645.65 Typical High $1,949.84 | Professional | None | $229.09 | $645.65 | $1,949.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $870.96 Typical High $1,995.26 | Professional | None | $562.34 | $870.96 | $1,995.26 |
United Setting Facility Modifier None Typical Low $165.96 Median $549.54 Typical High $5,888.44 | Facility | None | $165.96 | $549.54 | $5,888.44 |
United Setting Professional Modifier None Typical Low $239.88 Median $758.58 Typical High $2,398.83 | Professional | None | $239.88 | $758.58 | $2,398.83 |
Where Washington, DC sits
The same service costs 4.3 times more in Wisconsin than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Washington, DC· 43rd of 51
$646
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.